HomeMy WebLinkAboutMortgage_Goedde^•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNE T ip Year
__._ ; FOR DEDUCTION FROM ASSESSED VALUATION
� State Fortn 43709 (R11 / 609)
�' � PrrsaibeA by DePartment af Local Governmenl Fnance
� i Mark
wsrnucnoNS: JAN 2 1
Fwm t�eO wiM:
To be filed in person w by mail.with the CountyAUdifor or County Recorder o( fhe county where the property is located.
Filirg Dates: 1J Real Property Musf file durrrg Ihe year (or wfiich the deduction is soughl. Counry Auditor
2) Mobile / Manufactured Homes nof assessed as Real Property Must fiie dunng the rireNe (12) � Coun Recorder
before March 37 0( each year the deduction rs sought. tY
SeereversesiAeforaddrtionalinslrt�ctionsarMqualiFrcations. GIBSON COUNT
nookam(owxror uyer-seereshir�w�senroversed" l /1 /1 t , ,. Yl , i � '-
Assessed vdue aFreal P�PMY ffi
Ma�U 7, a�tren[ year
It �q.
name on
of mortgagee a mntract seller
bebw
AAdress ot rtart9a9� or mntrad srder (nwMer and sCeet �+�Y. state,
Name a a�nee or � owrier or ndaer or rtart�
Pddfess oi assynee (numDei arM street �: s+ste.
liram a,m property in any other
�ndia�aa
❑ Yes
Dr�ucaan approued in ihe amoum af.
�
3/3o3-lz�./�a
If owned wiih sormm�e
�Ut.00 E � J�M.ES ✓
z,—P� L��'ELo�-c, G/-!� R
If yrs
_ �1- �y�o
20 _ � 20 _ � 20
d Caimb Audhor
20 I 20
�7�09 ��v���a
�teEness unpaid as d Is Ne appli�snt the sWe
legal a epuitaWe wme()
❑ Yes ❑ No
spouse, 4Wicate wiM whom
I5 U�e D�GP�Y in quesUm: MmlaM M�sessed
❑ Real RoPenY � �!!�Y �
: deduGim been
:m y�r.
20
(monfh. daY•Y'��)
m p�openy
❑ No
20 _
1 I We certify under Ihe penalry of perjury Ihat the above arW foregoing infortnalion is true and cortect arM that the aDW��nt is a resident of Indiana arxi
owner I contracl buyer of the afaementioned property on date application is filed.
address ot appfrant
person (numberarid sLeet, cdy, state, an0 LP tode)
!� , �-1 �7
oate (monN. Eay: